Organization Active NPI

Medicos Unidos de Avenal

  • Family Medicine Physician
  • Avenal, CA
National Provider Identifier
1013108752
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICOS UNIDOS DE AVENAL
Practice address
148 E Kings St
Avenal, CA 93204-1529
Phone
(559) 386-9000
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tomas Ballesteros Rios, M.D.
Title
Owner
Phone
(559) 386-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

148 E Kings St
Avenal, CA 93204-1529

Mailing address

PO Box 530
Lemoore, CA 93245-0530
Phone (559) 386-9000

Other identifiers 1

IdentifierTypeStateIssuer
RHM058905FMedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1013108752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932450530",
            "telephone_number": "559-386-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E KINGS ST",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "932041529",
            "telephone_number": "559-386-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOS UNIDOS DE AVENAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_middle_name": "BALLESTEROS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-386-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM058905F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenal, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.